Shear Strain and Motion of the Subsynovial Connective Tissue and Median Nerve During Single-Digit Motion

Journal of Hand Surgery

Volumn 34, Issue 1, 2009, Pages 65-73

  Yoshii, Yuichi ^a   Zhao, Chunfeng ^a   Henderson, Jacqueline ^a   Zhao, Kristin D ^a   An, Kai Nan ^a   Amadio, Peter C ^a  

^a MAYO CLINIC   (United States)

Author keywords

Carpal tunnel; fluoroscopy; human cadaver; median nerve; subsynovial connective tissue (SSCT)

Indexed keywords

ARTICLE; CARPAL TUNNEL SYNDROME; FINGER; FLEXOR TENDON; FLUOROSCOPY; HUMAN; MEDIAN NERVE; MOTION; PRIORITY JOURNAL; SCALPEL; SYNOVIUM; WRIST;

AGED; AGED, 80 AND OVER; CADAVER; CONNECTIVE TISSUE; FEMALE; FINGERS; FLUOROSCOPY; HUMANS; LIGAMENTS, ARTICULAR; MALE; MEDIAN NERVE; MIDDLE AGED; MOVEMENT; STRESS, MECHANICAL; TENDONS; WRIST;

EID: 58049147744     PISSN: 03635023     EISSN: 15316564     Source Type: Journal    
DOI: 10.1016/j.jhsa.2008.09.021     Document Type: Article

References (20)

1. Fuchs P.C., Nathan P.A., and Myers L.D. Synovial histology in carpal tunnel syndrome. J Hand Surg 16A (1991) 753-758
2. Nakamichi K., and Tachibana S. Histology of the transverse carpal ligament and flexor tenosynovium in idiopathic carpal tunnel syndrome. J Hand Surg 23A (1998) 1015-1024
3. Neal N.C., McManners J., and Stirling G.A. Pathology of the flexor tendon sheath in the spontaneous carpal tunnel syndrome. J Hand Surg 12B (1987) 229-232
4. Ettema A.M., Amadio P.C., Zhao C., Wold L.E., and An K.N. A histological and immunohistochemical study of the subsynovial connective tissue in idiopathic carpal tunnel syndrome. J Bone Joint Surg 86A (2004) 1458-1466
5. Guimberteau J.C. New ideas in hand flexor tendon surgery: the sliding system: vascularized flexor tendon transfers (2001), Aquitaine Domaine Forestier, France 18-44
6. Ettema A.M., Zhao C., Amadio P.C., O'Byrne M.M., and An K.N. Gliding characteristics of flexor tendon and tenosynovium in carpal tunnel syndrome: a pilot study. Clin Anat 20 (2007) 292-299
7. Nakamichi K., and Tachibana S. Restricted motion of the median nerve in carpal tunnel syndrome. J Hand Surg 20B (1995) 460-464
8. Ettema A.M., An K.N., Zhao C., O'Byrne M.M., and Amadio P.C. Flexor tendon and synovial gliding during simultaneous and single digit flexion in idiopathic carpal tunnel syndrome. J Biomech 41 (2008) 292-298
9. Atroshi I., Gummesson C., Johnsson R., Ornstein E., Ranstam J., and Rosén I. Prevalence of carpal tunnel syndrome in a general population. JAMA 282 (1999) 153-158
10. Hagberg M., Morgenstern H., and Kelsh M. Impact of occupations and job tasks on the prevalence of carpal tunnel syndrome. Scand J Work Environ Health 18 (1992) 337-345
11. Silverstein B., Fine L., and Stetson D. Hand-wrist disorders among investment casting plant workers. J Hand Surg 12A (1987) 838-844
12. Stetson D.S., Silverstein B.A., and Keyserling W.M. Median sensory distal amplitude and latency: comparison between nonexposed managerial/professional employees and industrial workers. Am J Ind Med 24 (1993) 175-189
13. Bay B.K., Sharkey N.A., and Szabo R.M. Displacement and strain of the median nerve at the wrist. J Hand Surg 22A (1997) 621-627
14. Coppieters M.W., and Alshami A.M. Longitudinal excursion and strain in the median nerve during novel nerve gliding exercises for carpal tunnel syndrome. J Orthop Res 25 (2007) 972-980
15. Szabo R.M., Bay B.K., Sharkey N.A., and Gaut C. Median nerve displacement through the carpal canal. J Hand Surg 19A (1994) 901-906
16. Wright T.W., Glowczewskie F., Wheeler D., Miller G., and Cowin D. Excursion and strain of the median nerve. J Bone Joint Surg 78A (1996) 1897-1903
17. Yoshii Y., Zhao C., Zhao K.D., Zobitz M.E., An K.N., and Amadio P.C. The effect of wrist position on the relative motion of tendon, nerve, and subsynovial connective tissue within the carpal tunnel in a human cadaver model. J Orthop Res 26 (2008) 1153-1158
18. Zhao C., Ettema A.M., Osamura N., Berglund L.J., An K.N., and Amadio P.C. Gliding characteristics between flexor tendons and surrounding tissues in the carpal tunnel: a biomechanical cadaver study. J Orthop Res 25 (2007) 185-190
19. Goldstein S.A., Armstrong T.J., Chaffin D.B., and Matthews L.S. Analysis of cumulative strain in tendons and tendon sheaths. J Biomech 20 (1987) 1-6
20. Oh S., Belohlavek M., Zhao C., Osamura N., Zobitz M.E., An K.N., et al. Detection of differential gliding characteristics of the flexor digitorum superficialis tendon and subsynovial connective tissue using color Doppler sonographic imaging. J Ultrasound Med 26 (2007) 149-155